Viral meningitis – Diagnosis – Approach – Best Practice

A repeat LP showed 130 WBC/μL with 85% neutrophils, 120 RBC/μL, protein of 157 mg/dL, and glucose of 36 mg/dL. Isolation of virus from the CSF by cell culture is time-consuming and expensive, and so is not available in the majority of laboratories. patients who would have been (and were) admitted and empirically treated irrespective of CSF findings. Microbial agents themselves may cause substantial damage to the vascular wall, as destructive changes after infection have been shown to be centered in the tunica media where dissections occur [11–13]. Acquisition of infected aerosolized particles, with initial colonization of the nasopharynx, is followed by subsequent replication in the regional lymph nodes, invasion, septicemia and CNS infection. His cognitive symptoms had progressed over the next few months, resulting in an inability to recognize people, and the patient would sometimes get lost while driving locally.

Viral culture was performed by the standard methods used by the various laboratories. The RNA sequence is protected from degradation because it has been packaged into an RNA phage sequence (13). Enteroviruses were initially identified by the characteristic cytopathic effect produced, and individual serotypes identified by fluorescent antibody testing using polyvalent and individual fluorescein labelled antibodies. In recent years, it has been proposed that CSF lactate may be a good marker that can differentiate bacterial meningitis (> 6 mmol/l), from partially treated meningitis (4 to 6 mmol/l) and aseptic meningitis (< 2 mmol/l) [10]. ^ Karen Roos (2005). Eighteen of the 35 CSF samples were positive by virus isolation, and of the 18, 15 were tested and found positive with an enterovirus-specific RNA PCR (3, 7).
Eighteen of the 35 CSF samples were positive by virus isolation, and of the 18, 15 were tested and found positive with an enterovirus-specific RNA PCR (3, 7). Our reference standard for the diagnosis of TBM contemplated two categories: ‘definite’ TBM and ‘probable’ TBM. By this time, long-lasting B cell deficiency had developed, as well as undetectable levels of CD19+ and CD20+ circulating B cells, low serum IgG levels (3.2 g/L; normal range for the patient’s age, 5.4–16.1 g/L), and low anti–variella-zoster virus, poliovirus, and tetanus toxoid antibody levels. Previous study revealed that distinct viruses may cause different responses in the activity of gelatinases, enzymes that are crucially involved in leucocyte trafficking within the CNS [25, 26]. It wfas shown that a clinically diagnosed viral infection of the CNS was 88 times more likely to occur in a patient with a positive PCR result than in one with a negative PCR result. Our management algorithm for infants and children is shown in figure 1, and that for adults is shown in figure 2.

et al., 2004). The data indicate that HPeV infection is predominant in young infants (22/mm3 in subjects aged under 4 weeks, >15/mm3 for subjects aged 4-7 weeks, >5/mm3 for subjects aged over 7 weeks. in all forms of acute meningitis, the rise being less marked in viral than in bacterial meningitis. The spinal fluid is a clear liquid that bathes the brain and the spinal cord. The most frequent genotypes, echoviruses 6 and 30, were associated with different viral loads (P < .001). Results. Cerebrospinal fluid WBC count was normal in many of these infants, so performing a viral test is recommended for febrile infants younger than 3 months in which a lumbar puncture is practiced during warm months. 2.Tunkel AR, Haetman BT, Kaplan SL, Kaufman BA, Roos KL, Scheld WM, et al. In cases of negative gram stained smears diagnosis is delayed till culture results. Forty-five of 61 patients (74%) had a documented bacterial (n = 18; S. Nineteen CSF specimens from 70 patients suspected of viral meningitis were determined to be positive by PCR (27.1%), whereas only 17 were found to be positive by viral culture (24.3%). Although coxsackie B was endemic, clusters of one or other type were dominant at any one time. From November 18, 2008 to November 17, 2009 (phase II, intervention), all patients admitted with suspected viral meningitis (with pleocytosis) had a CSF sample tested using a nucleic acid amplification test (NAAT). The expression of MMP-9 as well as sICAM-1 was not detected in control CSF while observed in viral infected and further elevated in bacterial infected samples.